Individual provider · Type 1 NPI

Osaretin Samson

Family Nurse Practitioner · Hartford, CT

NPI number 1740617059 Active

Practice location

1000 Asylum Ave
Hartford, CT 06105-1770

Mailing address

2052 Tillotson Ave
Bronx, NY 10475-1560

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X676294 (NY)
Family Nurse Practitioner Primary 363LF0000X12.013925 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1740617059

Osaretin Samson's National Provider Identifier is 1740617059, issued on Oct 1, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hartford, CT. The record was last updated on Jul 11, 2025.